CLAYTON A FREDERICK


Address: 1791 Alum Creek Dr Ste 100, Columbus, OH 43207-1708
Phone: 6146452300

CLAYTON A FREDERICK (NPI# 1982199675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982199675
Entity Type Individual
Full Name CLAYTON A FREDERICK
Practice Address 1791 Alum Creek Dr Ste 100
Columbus
OH 43207-1708
Mailing Address 2780 Airport Dr Ste 100
Columbus
OH 43219-2289
Practice Telephone 6146452300
Practice Fax Number 6146452333
Mailing Telephone 6148591906
Mailing Fax Number 6146455517
Enumeration Date 2018-06-26
Last Update Date 2018-11-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse RN.392650 OH Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
022933 OH Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1855 E Dublin Granville Rd, Columbus, OH 432293516 6142677003

Office Location

Street Address 1791 ALUM CREEK DR STE 100
City COLUMBUS
State OH
Zip Code 43207-1708

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194071050 Columbus Neighborhood Health Center, Inc. Clinic/Center 1791 Alum Creek Dr Ste 100, Columbus, OH 43207 2012-07-30
1174081822 Dominique Terence Jackson Nurse Practitioner 1791 Alum Creek Dr Ste 100, Columbus, OH 43207 2019-03-12
1215427679 Grace Lucile Gotschall Clinic/Center 1791 Alum Creek Dr Ste 100, Columbus, OH 43207-1708 2018-05-11
1194213645 Rachel Bishop Social Worker 1791 Alum Creek Dr Ste 100, Columbus, OH 43207 2018-04-30
1962897769 Laura Lynn Mcneil Nurse Practitioner 1791 Alum Creek Dr Ste 100, Columbus, OH 43207 2015-03-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366947913 Mary Elise Hanks Internal Medicine Osumc/nationwide Children's Med-ped Residency Program, 1405 S. High St, Columbus, OH 43207 2018-03-27
1699279323 Timothy Ming-li Pian Internal Medicine Internal Medicine-pediatric Residency Program, 1405 S. High Street, Columbus, OH 43207 2018-03-19
1093245763 Royce Scott Home Health 254 E. Barthman Ave, Columbus, OH 43207 2017-06-15
1497207930 Vernon C Murphy Jr. Counselor 1430 S High St Suite 112, Columbus, OH 43207 2016-11-01
1669825931 Ayamba Roselyn Tanyi Social Worker 1791 Alum Creek Drive, Columbus, OH 43207 2016-07-21
1629421268 Tiffany Dawn Hinkle Counselor 1430 S. High St, Suite 112, Columbus, OH 43207 2016-07-19
1457714933 Matthew Isaac Lyons Internal Medicine 1405 S. High St., Osu/nch Internal Medicine-pediatric Residency Prog., Columbus, OH 43207 2016-04-01
1053712976 A Plus Children's Academy Community School Local Education Agency (LEA) 110 Obetz Rd., Columbus, OH 43207 2014-09-10
1407274301 William Hamilton Marshall V Student in an Organized Health Care Education/Training Program 1405 South High St, South High Primary Care Center, Columbus, OH 43207 2014-03-29
1912249665 Laura Romcevich Internal Medicine 700 Children's Dr. Ed650a, Osu/nch Internal Medicine-pediatric Residency Prog., Columbus, OH 43207 2013-03-20
Find all providers in zip 43207

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548873680 Nicollette Pizzoferrato Nurse Practitioner 600 W Goodale St Apt 261, Columbus, OH 43215-1904 2020-08-28
1750994125 Soumi Dey Nurse Practitioner 2085 Citygate Dr, Columbus, OH 43219-3656 2020-08-26
1063024065 Tanna Lynn Lok Nurse Practitioner 4545 Fisher Rd, Columbus, OH 43228-8923 2020-08-20
1548878937 Tracy King Nurse Practitioner 2561 Bryden Rd, Columbus, OH 43209-2135 2020-07-21
1598386641 Brina Nakia Smith Nurse Practitioner 3 Kingsridge Ct, Columbus, GA 31907-3730 2020-04-29
1770111361 Donna Betty Mitchell Nurse Practitioner 48 Northstar Dr, Columbus, GA 31907-6348 2020-03-30
1124653514 William A Jansak Nurse Practitioner The Richard M. Ross Heart Hospital, 4th Floor, 452 West 10th Ave, Columbus, OH 43210 2020-03-06
1164073227 Victoria Hargrove Nurse Practitioner 2473 Highway 69 S, Columbus, MS 39702-9248 2019-09-20
1700431657 Ohio Tms Clinic LLC Nurse Practitioner 3099 Sullivant Ave, Columbus, OH 43204-1895 2019-08-07
1780238204 Gail Lorine Jones Nurse Practitioner 820 Brookstone Centre Pkwy # Ga31904, Columbus, GA 31904-9246 2019-08-01
Find all providers in COLUMBUS

Competitor

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City COLUMBUS
Zip Code 43207

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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